This article and any supplementary material should be cited as follows: de Laat FA, van der Pluijm MJ, van Kuijk AA, Geertzen JH, Roorda LD. Cosmetic effect.

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This article and any supplementary material should be cited as follows: de Laat FA, van der Pluijm MJ, van Kuijk AA, Geertzen JH, Roorda LD. Cosmetic effect of knee joint in a knee disarticulation prosthesis. J Rehabil Res Dev. 2014;51(10):1545–54. Slideshow Project DOI: /JRRD JSP Cosmetic effect of knee joint in a knee disarticulation prosthesis Fred A. de Laat, MD, PhD; Mark J. van der Pluijm, CPO; Annette A. van Kuijk, MD, PhD; Jan H. Geertzen, MD, PhD; Leo D. Roorda, MD, PT, PhD

This article and any supplementary material should be cited as follows: de Laat FA, van der Pluijm MJ, van Kuijk AA, Geertzen JH, Roorda LD. Cosmetic effect of knee joint in a knee disarticulation prosthesis. J Rehabil Res Dev. 2014;51(10):1545–54. Slideshow Project DOI: /JRRD JSP Aim – Assess cosmetic effect of knee joint in knee disarticulation (KD) prosthesis by determining extent of thigh lengthening and shank shortening. Relevance – Despite advantages, KDs are rarely performed because of anticipated KD prosthesis fitting problems.

This article and any supplementary material should be cited as follows: de Laat FA, van der Pluijm MJ, van Kuijk AA, Geertzen JH, Roorda LD. Cosmetic effect of knee joint in a knee disarticulation prosthesis. J Rehabil Res Dev. 2014;51(10):1545–54. Slideshow Project DOI: /JRRD JSP Method Thigh lengthening and shank shortening in 18 knee joints were measured by experimental setup using laser techniques.

This article and any supplementary material should be cited as follows: de Laat FA, van der Pluijm MJ, van Kuijk AA, Geertzen JH, Roorda LD. Cosmetic effect of knee joint in a knee disarticulation prosthesis. J Rehabil Res Dev. 2014;51(10):1545–54. Slideshow Project DOI: /JRRD JSP Results Thigh lengthening: – Varied between 23 and 92 mm. – Polycentric knees Medi KH6 and Medi KFM1 showed least lengthening. Shank shortening: – Varied between 3 and 50 mm. – Polycentric knees Teh Lin Prosthetic & Orthotic Co. Ltd Graph-Lite and Medi KP5 showed least shortening.

This article and any supplementary material should be cited as follows: de Laat FA, van der Pluijm MJ, van Kuijk AA, Geertzen JH, Roorda LD. Cosmetic effect of knee joint in a knee disarticulation prosthesis. J Rehabil Res Dev. 2014;51(10):1545–54. Slideshow Project DOI: /JRRD JSP Conclusion With global 25 mm lengthening of thigh and 10 mm shortening of shank, cosmetic argument for avoiding KDs is no longer valid.